Transcript Highlights:

• It’s a practice in Western civilization to do that.
• I'm a 49-year licensed practicing funeral director in Odessa.
• Your need for bodies to practice on...
• I practice in San Antonio.
• You don't have to say you're practicing.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• Right now, we're sort of limited to motion practice, right?
• I practiced in Minnesota as well, so I was somewhat familiar.
• Motion practice has worked, and it's been effective.
• But I know South Central has at least one judge who's practiced, who practiced family law and has offered
• And again, I've practiced for, what, 18 years?

Keywords: 908, all

Summary: The Child Custody Review Task Force met with a quorum, approved the prior meeting minutes, and reviewed a memorandum compiling member suggestions for possible legislation. The memo grouped ideas into topics including creation of a family court, expanded education for parents, attorneys, and judges, expedited hearings for parenting-time violations, limiting law enforcement involvement in custody disputes, creating parenting time expediters, and adopting more uniform court procedures. Members also discussed whether to form subcommittees, but the task force decided to continue working as a full committee rather than create subcommittees at this time. The committee then heard testimony from Dr. John Perez, a mental health professional, who described his personal custody experience and his professional work with families he believes have been affected by parental alienation. He argued for stronger education, faster court response times, and better tools to address intentional interference with parenting time. Members questioned him about his case history, the concept of parental alienation, and whether specialized family courts or judges with family-law training could help. Dr. Perez said a dedicated family court and faster hearings would likely have helped his situation. The task force spent substantial time discussing the possible creation of a family court. Judge Hovey supported the idea of a specialized family court or at least a study of one, saying family cases are distinct from ordinary adversarial litigation and that judges with family-law experience could better handle them. Several members agreed that a family court could improve consistency, expertise, and speed, but others cautioned that the task force’s current directive is focused on enforcement of existing orders rather than broader custody policy, and noted that voters had previously rejected equal shared parenting proposals. The group also discussed expedited procedures for parenting-time disputes, with Judge Hovey suggesting a 30-day hearing timeline may be workable. On education, members generally supported requiring parents to complete a parenting education course and adding educational materials explaining court process, child support, and what judges can and cannot do. Mr. McLean suggested a short instructional video for litigants and more family-law education for judges and attorneys, while Ms. Moldenhauer said education could be incorporated into scheduling orders or mediation orders. Members also discussed the Parents Forever course, including whether it should be mandatory in all counties and whether cost is a barrier; no vote was taken on any of these proposals.

Transcript Highlights:

• This bill works in practice.
• It's also good for the practice of medicine itself.
• patients, and it's good for the practice patients, and it's good for the practice of<00:09:08.240
• Practicing medicine for just speaking.
• to be allowed to come here and practice to be allowed to come here and practice medicine<00:40:45.359

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• I'm a practicing optometrist in Benton, Kentucky.
• <00:18:41.200> in Kentucky who want to practice in Kentucky who want to practice in multiple
• Substituting a practice standards.
• applications and practical applications. applications and practical applications.
• licensed and certified advanced practice licensed and certified advanced practice paramedics.<00

Keywords: 0:22 – Roll Call 0:30 – Approval of minutes 1:04 – Department of Veterans Affairs 2:06 – Board of Pharmacy 3:20 – Board of Optometric Examiners 39:26 – Board of Nursing 40:07 – Board of Emergency Medical Services 41:52 – Department of Fish & Wildlife Resources 44:36 – Transportation Cabinet: Department of Vehicle Registration 45:36 – Department of Alcoholic Beverage Control 47:00 – Cabinet for Health & Family Services: Department for Medicaid Services 49:59 – Cabinet for Health & Family Services: Department for Community-Based Services, 958, all

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.

Transcript Highlights:

• So, this is a long-standing practice here in Vermont. It wasn't always unique to Vermont.
• Other states did have this practice.
• This is a long-standing practice here in Vermont. It wasn't always unique to us.
• Other states did have this practice.
• Uh, but same uh function in practice.

Keywords: 926, house, all

Summary: The Caucus of the Whole received a presentation on the history of Vermont’s practice of electing the Adjutant General and on the upcoming election process. Speakers explained that the General Assembly has elected the Adjutant General since shortly after the War of 1812, making Vermont unique among states, and described the respective roles of the legislature, the governor, and the Adjutant General in overseeing the Vermont National Guard. They also noted legislative oversight of annual reports on sexual assault and harassment complaints, death benefits, and state funding for the Guard. The presentation reviewed current statutory qualifications for the office, including rank, service membership, senior service college graduation, and federal recognition, and explained that the election now occurs in the second year of the biennium at a joint assembly. Members were told the next election is expected on February 19, 2026, once the House clerk sets the date. The presenters also said the legislature recently modernized the statute to require qualified candidates and clarified that the Adjutant General and Inspector General title is one office under the statute. Members asked questions about the two-year term, the election procedure, and whether the committee would make a recommendation. The presenters said nominations and seconding would occur and the vote would be by paper ballot, similar to trustee elections. They also said the Government Operations committee and caucus were providing a forum for the candidates but would not issue a recommendation, leaving the decision to individual members. The meeting ended with members encouraged to review candidate biographies and contact information and to speak directly with the candidates.

Transcript Highlights:

• > practice with optometry and practice with optometry and ophthalmology<00:11:37.440> is<00:11
• 30.160> years<00:12:30.720> and practiced optometry for 38 years and practiced optometry
• These conflicts only arise typically in the political process, not in clinical practice.
• These conflicts only arise typically in the political process, not in clinical practice.
• So I believe not in clinical practice.

Keywords: 1183, house

Transcript Highlights:

• in the wake of the 2008 financial crisis to protect regular people from predatory and deceptive practices
• victims of deceptive acts and practices victims of deceptive acts and practices and<00:04:54.840
• <00:08:01.560> to dive into to a company's practices to dive into to a company's practices
• <00:12:29.560> into incorporating abusive practice into incorporating abusive practice into
• loan debt collection practices loan debt collection practices prohibiting<00:27:05.799> junk<

Keywords: 1187, senate, all

Transcript Highlights:

• Exclusionary practices such as suspension should, and frankly are, used as a last resort after ongoing
• <00:02:54.760> such to do that exclusionary practices such to do that exclusionary practices
• It also allows for the continual ongoing best practices that schools are doing, and it allows schools
• Frankly, we don't need the legislature to tell us what best practices are.
• Frankly, we don't need the legislature to tell us what best practices are.

Keywords: 1183, house

Transcript Highlights:

• It's standard practice at HHS.
• I don't think that practice at HHS.
• we'd have a general practice dentist. we'd have a general practice dentist.
• Instead of Radiographic Practices.
• <03:09:50.360> skills generalizing and practicing skills generalizing and practicing skills

Keywords: 1189, house, all

Transcript Highlights:

• It's brand new, so it takes time to put this program in practice.
• States that started to put it in practice were then kind of derailed by COVID.
• I've transitioned my practice starting in COVID to really focus...
• And I own and operate a private practice.
• I no longer have an active private practice, but I do volunteer.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• Retail and service ag businesses practices of aging vets wanting to sell their practices have been unsuccessful
• I'm working with the Minnesota Veterinary Association to ensure that best practices are kept to protect
• For instance, in our town, Minnesota, the vet clinic closed because she preferred practicing medicine
• In my immediate area, we've lost five veterinarians who would have loved to sell their practices.
• And so it allows him to practice his craft without all the added weight of owning a business.

Transcript Highlights:

• So I think we need to talk about the practice act.
• But a person engages in the unlawful practice of law.
• The unlicensed practice of medicine. Thank you.
• If if you if I'm trying to look or if you already on your unlawfully practicing the practice advertising
• that we can look at the practice act compact.

Keywords: 999, senate, all

Transcript Highlights:

• The scope of practice in New Mexico, just to let you know.
• So the current practice model now, in New Mexico, dental hygienists can only practice under the supervision
• A collaborative practice dental hygienist is certified to practice without supervision in a cooperative
• As an example, with the advanced practice dental hygiene, some of the expanded scope of practice could
• Hygienists only have so much scope of practice.

Transcript Highlights:

• meet with your h meet with your practice meet with your h meet with your practice uh<01:11:34.640
• They have a comparable scope of practice as physicians and can practice in a variety of settings.
• <01:54:29.840> in with less than 5 years of practice in with less than 5 years of practice
• Only about 4% of total practice is in rural primary care physician practice.
• primary care of physician practice. primary care of physician practice.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• But just to clarify, we’re not practicing medicine because in the state of Louisiana, practicing medicine
• Today you’re not practicing medicine, but this bill would allow you to practice medicine.”
• scope of practice, including opioids—and we're not asking for that.
• So I really have questions as to how this works in practice.
• You know, I don't really see it working in practice.

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• <00:03:46.159> of the guidelines of and best practices of the guidelines of and best practices
• <00:10:25.760> handles setting because each practice handles setting because each practice
• program is implemented in a practical program is implemented in a practical way<00:58:20.799>
• practice adoption um across the islands. practice adoption um across the islands.
• and practices.

Bills: SB874, SB2097, SB2098, SB2126, SB2154, SB2153, SB2160, SB2123, SB2110

Keywords: veterinary medicine, prescription, consumer rights, transparency, pet medication, sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, clean plant program, disease-free plants, plant propagation, small farms, midsize farms, sustainable farming, Hawaii, data analysis, market study

Summary: The committee heard several agriculture-related bills. SB 874 on veterinary medicine would require veterinarians, upon a client’s request, to provide a written prescription for an animal patient in an existing veterinary client-patient relationship, allow Hawaii-licensed pharmacies to dispense those prescriptions, and authorize the Veterinary Medicine Board to set penalties. Testimony was overwhelmingly supportive, with supporters citing lower costs and consumer choice; the Hawaii Veterinary Medical Association said veterinarians already should be doing this and supported the bill if amended. One testifier in opposition argued the bill needed a conspicuous notice requirement so pet owners know they can request prescriptions. Committee members and the Department of Agriculture said they were not aware of widespread problems, and discussion focused on whether the measure was already consistent with current practice and whether amendments would address remaining concerns. The committee also heard SB 2097, which would create a climate-resilient food systems grant program in the Department of Agriculture and Biosecurity and appropriate funds. The department, Hawaii Farm Bureau, Hawaii Farmers Union, Hawaii Cattlemen’s Council, and others supported the bill, saying it could help farmers and ranchers invest in resilience, infrastructure, and technology. Several testifiers asked for clearer definitions, especially for terms like “food hubs” and “resilience hubs,” and suggested adding technical assistance and clearer eligibility criteria. The department explained the program was intended for shovel-ready projects in the middle of the supply chain, with a focus on farmers in a certain revenue range, and said it was modeled on a USDA program. SB 2098 would establish a clean plant program to produce and distribute disease-free plant material to growers, nurseries, and other producers. Testimony was supportive, emphasizing biosecurity, nursery industry needs, and preventing invasive species and crop disease. The department described the program as using tested clean stock, tissue culture facilities, and data collection to support future planting decisions, and estimated a two-year ramp-up. Members questioned whether the program duplicated existing work at CTR/other partners and whether data collection should be centralized, but the department said the effort would build on existing varieties and partnerships rather than overlap them. Finally, SB 2126 would create a conventional farming grant program for small and midsize conventional farmers. Supporters from the department, Hawaii Farm Bureau, and Hawaii Cattlemen’s Council said conventional agriculture deserves support and that the bill would help increase food production. Opposition and comments focused on the bill’s exclusion of organic farmers; one farmer said the measure was unfair unless amended to include organic producers, while a Farmers Union witness said the bill was too vague about the grant’s purpose and should be clearer about its goals. In response to questions, the department said the exclusion of organic farming was not intentional and that the bill was meant to support all agriculture, though no vote or final action was taken in the excerpt provided.

Transcript Highlights:

• Illegal marketing product practice. Practice. Okay. Not much better. Okay. Yeah.
• practice as opposed to a service? practice as opposed to a service?
• Illegal marketing product practice. Illegal marketing product practice.
• Practice.<01:28:05.600> Okay. Practice. Okay. Practice. Okay.
• practices by having 40-year agreements. practices by having 40-year agreements.

Keywords: 928, house, all

Summary: The committee first held a public hearing on Senate Bill 25, which would allow state-chartered credit unions to compensate board members if the membership approves it. Prime sponsor Senator Dan Innis said the bill is enabling only, intended to help credit unions recruit and retain qualified directors and align New Hampshire with other states that already allow such compensation. Credit union representatives from the Cooperative Credit Union Association and St. Mary’s Bank supported the bill, saying board service has become more complex because of cybersecurity, asset-liability management, and other regulatory demands, and that compensation could be modest and take forms such as meeting fees or educational reimbursement. In response to committee questions, they said compensation would be set by the membership, disclosed in advance, and subject to bylaws and internal policies; they also noted that board members must be credit union members and that voting procedures vary by institution, with some using mailed ballots rather than proxy voting. Members raised questions about why credit union boards were historically excluded, what kinds of compensation were contemplated, whether there would be a cap, and how voting and confidentiality would work. Testimony explained that the historical rationale was the nonprofit, volunteer mission of credit unions, but witnesses argued that the modern environment and competition for talent justify a change. They also said the bill would not mandate compensation and would not create a salary structure comparable to banks, but would allow members to approve modest compensation or reimbursements. After no further testimony, the chair closed the public hearing on Senate Bill 25. The committee then opened a public hearing on Senate Bill 26, sponsored by Senator Howard Pearl, concerning the definition of deposits in land sales and escrowed accounts. Pearl said the bill would clarify that buyer funds for upgrades and luxury items in new-home construction are not treated as refundable deposits that must be held in escrow, arguing that the current Attorney General interpretation raises builder costs, increases home prices, and can limit buyer choices. He said the proposal would allow those upgrade funds to be paid directly to builders for construction, with signed disclosures making clear that the buyer requested the items and bears the risk if financing falls through. The hearing on Senate Bill 26 had just begun when the transcript ended.

Transcript Highlights:

• in focus on the data practices in focus on the data practices provision.<00:45:28.319> Senator
• Um I will say we practice to be good.
• that's not a data practices question. that's not a data practices question.
• ,<01:06:02.240> and<01:06:02.480> and principles, practices, and and principles, practices
• And then uh I think the final practices.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:10:55.200> for has been fairly standard practice for has been fairly standard practice
• , is pretty standard practice in any business, not even just the legislature.
• , is pretty standard practice in any business, not even just the legislature.
• actually<00:27:04.240> two practice.
• There were actually two practice.

Keywords: 1183, house

Transcript Highlights:

• We also found leading practices and other states' practices that provide examples of planning and performance
• Next, my colleague Nancy Patino will cover the practices we identified.
• practices that we found.
• In the following slides, I will go into further detail on all of these practices.
• For practice one, establish an economic development strategic plan, including goals and objectives.

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.